| La Clinica School-based Health Center At Sam's Valley Elementary Schoo | |
|
14235 Table Rock Rd Central Point OR 97502-9377 | |
| (541) 494-6818 | |
| (541) 494-6816 |
| Full Name | La Clinica School-based Health Center At Sam's Valley Elementary Schoo |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14235 Table Rock Rd, Central Point, Oregon |
| Authorized Official Name and Position | Tara Lynette Jeannot (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5415356239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica School-based Health Center At Sam's Valley Elementary Schoo 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School-based Health Center At Sam's Valley Elementary Schoo 14235 Table Rock Rd Central Point OR 97502-9377 Ph: (541) 494-6818 |
| NPI Number | 1821572884 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821572884 | NPI | - | NPPES |
| 022868 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
La Clinica Del Valle Family Health Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St, Central Point, OR 97502 Phone: 541-535-6239 | |
La Clinica School-based Health Center At Crater High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 N 3rd St, Central Point, OR 97502 Phone: 541-494-6323 Fax: 541-494-6381 | |
La Clinica School Based Health Center At Central Point Elementary Scho Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 S 4th St, Central Point, OR 97502 Phone: 541-494-6611 Fax: 541-494-6613 | |
Laurie Dahl, Fnp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Twin Creeks Crossing Loop, Suite A, Central Point, OR 97502 Phone: 541-500-0561 Fax: 541-982-7287 | |
Eagle Point Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 358 Meadowbrook Dr, Central Point, OR 97502 Phone: 541-423-5832 Fax: 833-384-0072 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St, Suite 200, Central Point, OR 97502 Phone: 541-732-8000 Fax: 541-732-3404 | |
La Clinica School Based Health Center At Mae Richardson Elementary Sch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Pine St, Central Point, OR 97502 Phone: 541-494-6700 Fax: 541-665-5881 |